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Importance of Resistance Training for Elderly Populations

 

What is Resistance Training?

Resistance Training can be defined as a form of exercise, whereby external weights provide progressive overload to skeletal muscles in order to make them stronger and often result in hypertrophy (growth in overall size of muscle cells) (Alix-Fages et. al, 2022; Phillips and Winett, 2010), which can lead to several benefits.

 

Benefits:

Less chance of falls and subsequent physical inactivity:

Araujo et. al (2022) found that middle aged or older people who could not stand on one leg for more than 10 seconds were more likely to die in the next seven years, compared to people who could. Why could this be the case?

 

People with less balance can be more prone falls. When in older age, this is more likely to lead to serious injury to lower bone density. If this results in a hip fracture, then there is no guarantee they will reach pre-injury level of recovery, leaving a lack of mobility and pain. With many people, this can result in them stopping activities which they used to enjoy, such as regular walks, and meeting up with friends to do things. This decrease in physical activity and increase in isolation can further accelerate the negative effects of the fall such as increased risk of depression and heart disease from being physically inactive

 

Reduce risk of chronic diseases and keeping one’s independence:

Furthermore, regular resistance training (2-3 sessions per week) has been shown to reduce the risk of chronic diseases such as osteoporosis, heart disease, arthritis and type 2 diabetes. (Fragala et. al, 2019),  as well as being important in managing sarcopenia (the gradual loss in muscle mass due to age). Avoiding these chronic diseases can help people keep their independence in their old age, thus increasing their quality of life. For example, if someone can avoid osteoporosis and arthritis, then they can move with much more ease. This allows them the ability to complete activities such as playing with grandchildren and climbing stairs.

 

The snowball effect of being able to do these things can also have a positive effect on one’s mental health as they will be able to live with more confidence, less anxiety and more social interactions instead of potential isolation due to lack of mobility.

 

Seeing these benefits first hand:

As a personal trainer, one of the main protocols I take when working with older clients is to incorporate exercises which improve their balance and stability into their training programme, at a level suited to them. This can start off as simple as dowel assisted front foot elevated split squat, progressing all the way to unassisted single leg Romanian deadlifts. When performed consistently and accompanied by adequate nutrition, results are seen quickly so never think that it’s too late to start resistance training.

 

Reference List:

  • Alix-Fages, C., Del Vecchio, A., Baz-Valle, E., Santos-Concejero, J., & Balsalobre-Fernández, C. (2022). The role of the neural stimulus in regulating skeletal muscle hypertrophy. European Journal of Applied Physiology, 1-18.
  • AraujoCG, de Souza e Silva CG, Laukkanen JA, et al, Successful 10-second one-legged stance performance predicts survival in middle-aged and older individuals British Journal of Sports Medicine Published Online First: 21 June 2022. doi:1136/bjsports-2021-105360
  • Fragala, Maren S.1; Cadore, Eduardo L.2; Dorgo, Sandor3; Izquierdo, Mikel4; Kraemer, William J.5; Peterson, Mark D.6; Ryan, Eric D.7Resistance Training for Older Adults: Position Statement From the National Strength and Conditioning Association, Journal of Strength and Conditioning Research: August 2019 – Volume 33 – Issue 8 – p 2019-2052 doi: 10.1519/JSC.0000000000003230
  • Phillips, S. M., & Winett, R. A. (2010). Uncomplicated resistance training and health-related outcomes: evidence for a public health mandate. Current sports medicine reports9(4), 208.
  • Zhang, J., Ang, M. L., & Kwek, E. B. (2015). Who Will Walk Again? Effects of Rehabilitation on the Ambulatory Status in Elderly Patients Undergoing Hemiarthroplasty for Femoral Neck Fracture. Geriatric orthopaedic surgery & rehabilitation6(3), 168–172. https://doi.org/10.1177/2151458515583111

 

Personal Training Tips | Resistance Training Benefits for Females

What is Resistance Training?

Resistance Training can be defined as a form of exercise, whereby external weights provide progressive overload to skeletal muscles in order to make them stronger and often result in hypertrophy (growth in overall size of muscle cells) (Alix-Fages et. al, 2022; Phillips and Winett, 2010), which can lead to several benefits.

Mental Health:

Firstly, Ramirez and Kravitz (2012) looked into the benefits of regular resistance training and found that it has been shown to improve numerous aspects of mental health including: lessened anxiety, depression, chronic fatigue, self-esteem, memory and cognition. The way in which resistance training helps achieve this is not yet clear, but the benefits to mental health could well be consequences of the physical benefits that resistance training provides. For example, when we start training regularly, our sleep may improve. In turn, we see a reduction in stress hormones (Maggio et. al, 2013), which then can have a positive effect on our level of anxiety.

Fat Loss:

When wanting to lose weight, we need to be in a calorie deficit. When in this calorie deficit, weight can be lost via losing body fat, water, and muscle tissue. Regular resistance training helps preserve muscle mass when in a calorie deficit (Miller et. al, 2018). This, in turn, results in more of the weight lost being from body fat tissue, as opposed to muscle tissue. It is important to note that protein intake and sleep must also be sufficient to maximise muscle preservation, and therefore fat loss, in a calorie deficit. (Nedeltcheva et. al, 2010; Stokes et. al, 2018)

Frailty and Functionality:

As we age past the age of 35, we experience a gradual loss of muscle mass of around 1-2% per year, this is known as sarcopenia (Cruz-Jentoft and Sayer, 2019). Once we reach our 60’s and older, sarcopenia may contribute to a loss of functionality in daily tasks such as climbing stairs with ease, or playing with grandchildren.

Resistance training in elderly populations has been shown to increase their ability to go from sitting to standing with less postural sway and more proprioception, which is linked to more functional ability and lower risk of falls. (Faigenbaum and Myer, 2010)

‘I Don’t Want to Look Bulky’:

This is a common worry with female clients. Fortunately, there is about as much chance as accidentally adding significant amounts of muscle mass accidentally as there is as taking driving lessons and accidentally ending up in the Monaco Grand Prix.

Putting on significant amounts of muscle mass requires consistent training on a hypertrophy focussed plan, being in a calorie surplus, and consumption of adequate protein for a number of months before noticeable increases are seen. Overall, resistance training can be used as an excellent tool to improve one’s quality of life, regardless of age or goals.

Reference List:

  • Alix-Fages, C., Del Vecchio, A., Baz-Valle, E., Santos-Concejero, J., & Balsalobre-Fernández, C. (2022). The role of the neural stimulus in regulating skeletal muscle hypertrophy. European Journal of Applied Physiology, 1-18.
  • Cruz-Jentoft, A. J., & Sayer, A. A. (2019). Sarcopenia. The Lancet393(10191), 2636-2646.
  • Faigenbaum, A. D., & Myer, G. D. (2010). Pediatric resistance training: benefits, concerns, and program design considerations. Current sports medicine reports9(3), 161-168.
  • Maggio, M., Colizzi, E., Fisichella, A., Valenti, G., Ceresini, G., Dall’Aglio, E., … & Ceda, G. P. (2013). Stress hormones, sleep deprivation and cognition in older adults. Maturitas76(1), 22-44.
  • Miller, T., Mull, S., Aragon, A. A., Krieger, J., & Schoenfeld, B. J. (2018). Resistance training combined with diet decreases body fat while preserving lean mass independent of resting metabolic rate: a randomized trial. International journal of sport nutrition and exercise metabolism28(1), 46-54.
  • Nedeltcheva, A. V., Kilkus, J. M., Imperial, J., Schoeller, D. A., & Penev, P. D. (2010). Insufficient sleep undermines dietary efforts to reduce adiposity. Annals of internal medicine153(7), 435–441. https://doi.org/10.7326/0003-4819-153-7-201010050-00006
  • Phillips, S. M., & Winett, R. A. (2010). Uncomplicated resistance training and health-related outcomes: evidence for a public health mandate. Current sports medicine reports9(4), 208.
  • Ramirez, A., & Kravitz, L. (2012). Resistance training improves mental health. IDEA Fitness Journal9(1), 20-22.
  • Stokes, T., Hector, A. J., Morton, R. W., McGlory, C., & Phillips, S. M. (2018). Recent perspectives regarding the role of dietary protein for the promotion of muscle hypertrophy with resistance exercise training. Nutrients10(2), 180.

 

 

3 Personal Training Exercises for a Beginner for Building Glutes

As personal trainers we have found that the glutes are for most individuals the biggest muscle in the body, and for most females an area on their body that they have a preference to develop. That said form a performance point of view you want the biggest muscle in your body to be strong and functionally sound.
Many studies have shown the effects of the back squat at simulating hypertrophy at the glutes. The skill set required to perform a squat to the degree necessary to drive output and range of motion to get the glutes into a lengthened to the point of creating sufficient mechanical tension can only really be reached by individuals who have developed the skill of squatting. As you are reading this article, I would presume you are a novice lifter who would benefit from 3 efficient exercises that require an entry level skill set to stimulate your glutes.
I mentioned how great back squats are at building glutes however don’t think it gives you the licence to jump on the rack and start squatting you really have to earn the skill level to squat correctly and have the ability to stay stable enough so that you can use your glutes to squat. The problem most individuals walk into when squatting is going to an anterior pelvic tilt within their squat, this will disadvantage the ability for your glutes to create hip extension and the hamstrings and the adductor magnus will come into play. When you perform a squat and your knees cave in you are likely going to be an individual who will not grow your glutes via squatting in your program, your glutes will not be contributing to the lift for long enough to create a stimuli for them to create the adaptation for them to grow. This does not throw the back squat in the bin for you I just will require some dedicated time practising the skill of the squat and working on your stability around the hips and pelvis.
1) Leg Press – The leg press enables a relatively novice lifter to work the glutes in their lengthened position without requiring the same level of ability as a back squat would. With the external stability of the machine it gives the individual the opportunity to drive enough stimulus through the glutes to drive the growth through the glutes. Studies have also show that we generally see greater responses in muscle hypertrophy in exercises that challenge a muscle within its lengthened position this is more than likely due as it is where we see mechanical tension at its highest. To get the most out of the leg press a tempo to perform the exercise in would be: 2e:2-2c:0 (2e= 2 seconds eccentric:2 seconds hold at the bottom of the eccentric:2c=2 seconds concentric:0 seconds at the top of the concentric).

2) 45 degree back extension (glute dominant) – When done correctly this exercise effectively work the glutes within their shortened position. The key is limiting the range of motion so that you can remain in a posterior tilt of the pelvis throughout driving the hips into the pad as hard as you can squeezing the glute fibres together and contracting the glutes as hard as you can. This can be done with your bodyweight and still be incredibly challenging when the intent of maintaining the pelvis in that stable posterior tilt and contracting the glute fibres as hard as you can all the way throughout the movement. Some may argue that you are not working the full range of motion of the exercise however this article is for people who are looking to grow glutes and challenge the glutes with enough stimulus to elicit a hypertrophy adaptation, not a mindless pursuit of movement with no true stimulation. The great thing about this exercise is that it requires minimal set up time and you can really push the glutes to failure to stimulate enough metabolic stress and drive your glutes to grow. Comparing this exercise with the barbell hip thrust, which also works the glutes in its shortened position would be the inefficiency of time to set up the hip thrust. 3 mins to set up and 3 mins to clear your equipment away in that time you would have finished your sets on the 45 degree back extension, and more than likely pushed your glutes further into a state of fatigue and moved on to your next exercise hence why I would tend to go for the efficiency of the 45 degree back extension over the barbell hip thrust. Tempo considerations: 2c:2-1e:0

3) Trap Bar Deadlift – The trap bar deadlift would be my hip hinging movement of choice for a novice lifter, the technical requirements are so much less than a conventional deadlift or an RDL. The trap bar deadlift will also exert less force through the lumbar spine than a conventional deadlift but you still get a lot of glute stimulation. If you are a novice lifter who does not have the skill proficiency to squat and your goal is to have a good squat, its more than likely that you will need to work develop the skill requirements for a conventional deadlift also. The position you get into with the trap bar is a lot more upright than a conventional deadlift and may have some carry over to the progression of the barbell back squat as well as the conventional deadlift. It can teach you to keep your pelvis stable and how to brace from hip flexion to hip extension, as you are starting from a concentric phase where people usually break down within a squat which begins in the eccentric. Tempo considerations 1c:2-2e:2

In addition to these 3 movements I would add some unilateral lower body movements to your program on a consistent basis:

– Single leg RDLs
– Split Squat variations
– Lunge variations
– Hip airplane

If the goal is to grow your glutes the journey does not end with these 3 exercises however myself and many other experienced lifters use these movements as a staple in their training programs. Progressing your lifts to more advanced lifts once you have developed the skill prerequisites to perform them rather than fast tracking to exercises that may be more counterproductive for you due to your level of proficiency, this is probably the number one mistakes I see novice lifters make.

Personal Trainers Top 60+ Resistance Band Exercises (VIDEO)

Resistance bands are a great tool to increase the difficulty level of any exercise when you have the knowledge of application. Resistance bands are also portable and can be used anywhere, I personally take a bag of resistance bands with me whenever I go on holiday so I can get some physical activity done and really challenged my muscles without the need of weights or a gym .
Another great thing about resistance bands compared to a dumbbell or a barbell is that the resistance increases as you stretch the resistance band this accommodates the tension throughout the whole movement allowing you to maximise the contractile ability off your muscle at the point where if using a dumbbell the tension would drop off.
resistance bands are easy to access and very affordable. I hope you enjoy the video and please if you do like the video please click like on the video and feel free to share with any family or friends.

RESISTANCE BAND EXERCISES

1. Squat
2. Front Squat
3. Band Behind the head squat
4. Zercher Squat
5. RDL – Hips
6. RDL – Hamstrings
7. Single leg RDL 1
8. Single leg RDL 2
9. Single leg RDL 3
10. Good morning
11. Zercher Good mornings
12. Banded Spilt Squats 1
13. Hip hinge with band on hips
14. Bulgarian Split Squats 1
15. Bulgarian Split Squats 2
16. Swings
17. Glute bridge
18. Single Leg Glute Bridge
19. Frog Bridge
20. Lateral walks
21. Resistance band press ups wide grip
22. Close grip press ups
23. Resistance band pec fly
24. Resistance Band Floor Press
25. Floor Press with broom
26. Single Arm External Rotations
27. Double Arm External Rotations
28. Lateral raise
29. 10 o’clock, 2 o’clock Frontal Raise
30. Frontal raise
31. Bent over single arm rear delt fly
32. Shoulder press
33. Single arm shoulder press
34. Punch press
35. Cuban Press
36. Upright row
37. Seated Row
38. Seated single arm row
39. Bent over row
40. Single Arm Pull Down
41. Single Arm Pakulski Row
42. Straight arm Pull down
43. Face Pull
44. Face Pull to Y Press
45. Pull Aparts
46. Supinated Pull Aparts
47. Single arm tricep extension
48. Double arm Tricep extension
49. Double arm bent over Tricep extension
50. Skull Crushers
51. Hammer Curls
52. Bicep Curls
53. Reverse curls
54. Concentration Curls
55. Preacher Curls
56. Pallof Press
57. Saxon Bend
58. Banded Dead Bugs
59. Kneeling abdominal crunch
60. Side Bends
61. Banded Chop
62. Banded Rotation

62 Resistance Band Exercises Video

If you feel like your training has become stagnant since the lockout a number of our clients have been keeping the momentum going by doing one on one virtual personal training sessions using Zoom or FaceTime. If you would like any help in getting an effective training schedule organised, please contact us.

Wishing you all a very happy Easter weekend, Stay strong, stay positive, keep active, and don’t eat too many Easter eggs.

Much Love,

Stelios

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